Leah E Cooper, OTR/L

Individual provider Active NPI Occupational Therapist · Beebe, AR

NPI 1346299385 · NPPES record last updated Jul 24, 2023

Key facts

NPI
1346299385
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTR1996 (AR)
Practice address
130 Underhill Rd
Beebe, AR 72012-9751
Phone
(501) 230-3100
Fax
(501) 882-9825
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTR1996ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Kan, LLC Occupational Therapist Past
since Jul 31, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR1996 AR Yes

Addresses

Primary practice location

130 Underhill Rd
Beebe, AR 72012-9751

Mailing address

140 Sunnyside Dr
Batesville, AR 72501-9628
Phone (870) 307-5724

Other identifiers

IdentifierTypeStateIssuer
157463721MedicaidAR

Other providers in Beebe, AR

All providers in Beebe, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.